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与痴呆症患者的照料者共同设计包容性定性研究:方法学见解

Designing Inclusive Qualitative Research with Carers of People Living with Dementia: Methodological Insights.

作者信息

Runacres Jessica, Herron Daniel

机构信息

Department of Midwifery and Allied Health, Staffordshire University, Staffordshire ST4 2DE, UK.

Department of Psychology, Staffordshire University, Staffordshire ST4 2DE, UK.

出版信息

Healthcare (Basel). 2023 Jul 25;11(15):2125. doi: 10.3390/healthcare11152125.

Abstract

The support provided by carers of people living with dementia results in savings for the UK economy; however, providing this care has a significant impact on carers. Supports are needed to ensure that carers can continue to provide care, and carers should be involved in the generation of the evidence necessary to develop such support. However, this relies on their ability to meaningfully engage with research, yet current data collection methods create obstacles to engagement. In this paper, we aim to provide a critical examination of approaches to qualitative data collection with carers and produce recommendations for the design of inclusive research. First, different approaches to qualitative data collection are discussed and appraised. Following this, a case study of inclusive research is presented, illustrating how carers can be facilitated to engage in research. Finally, recommendations for inclusive research are offered, including the collection of data without the cared-for person present, building additional care into a study design, providing 'incidental funds,' offering sustenance and remuneration, and undertaking research in a neutral space. These recommendations are designed to facilitate the involvement of carers in research and promote the use of more varied or multifaceted methods to develop the current evidence base.

摘要

痴呆症患者的照料者所提供的支持为英国经济节省了开支;然而,提供这种照料对照料者有重大影响。需要提供支持,以确保照料者能够继续提供照料,并且照料者应参与生成制定此类支持所需的证据。然而,这依赖于他们有意义地参与研究的能力,而当前的数据收集方法却给参与造成了障碍。在本文中,我们旨在对照料者定性数据收集方法进行批判性审视,并为包容性研究的设计提出建议。首先,讨论并评估定性数据收集的不同方法。在此之后,呈现一个包容性研究的案例分析,说明如何促进照料者参与研究。最后,提供包容性研究的建议,包括在被照料者不在场的情况下收集数据、在研究设计中增加额外照料、提供“临时资金”、提供食物和报酬,以及在中立空间开展研究。这些建议旨在促进照料者参与研究,并推动使用更多样化或多方面的方法来发展当前的证据基础。

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Sustaining relational subjectivity: The experience of women with dementia.维持关系主体性:痴呆女性的经历。
Sociol Health Illn. 2023 Mar;45(3):503-521. doi: 10.1111/1467-9566.13594. Epub 2022 Dec 14.

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